Inthira RoopsawangMahidol University, Thailand
Title: Factors associated with depressive symptoms among older thais living in rural areas: A path model
Depressive symptoms are complex and more severe in older people. However, there is limited research exploring the causal relationships between depression and its associated factors in the geriatric population, particularly in Thailand. We aimed to evaluate the direction of these complex relationships in the Thai population. A cross- sectional design was conducted on 312 Thai community-dwelling older adults aged 60 years or above who registered for primary care services. Participants were recruited from July 2019 to January 2020, and they responded to standard assessments. The relationships between pain, number of medications, frailty, locomotive syndrome, and depressive symptoms were investigated using path analysis. Results revealed that most participants were women, had multiple diseases, mild pain, frailty, and grade I–II locomotive syndrome. The prevalence of depressive symptoms was 16%. The model showed significant positive direct and indirect paths from locomotive syndrome to depressive symptoms (? = .296, p < .01; ? = .099, p < .01, respectively). There was a significant positive direct path from frailty to depressive symptoms (? = .219, p < .01), and a significant positive indirect path from pain to depressive symptoms (? = .096, p < .01). Findings from this study can be concluded that pain, frailty, and locomotive syndrome significantly predicted depressive symptoms. Comprehensive interventions that integrate gerontological knowledge of these factors are needed.
Inthira Roopsawang has completed her Ph.D (Nursing) from School of Nursing, University of Washington at Seattle, USA. She is currently an assistant professor at Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University. She has been serving as a reviewer of several national and international journals.